BOSTON EYE SURGERY & LASER CENTER TRUST
NPI 1124116264
Clinic/Center - Ambulatory Surgical in Boston, MA

NPI Status: Active since October 11, 2006

Contact Information

50 STANIFORD ST
LOBBY LEVEL
BOSTON, MA
ZIP 02114
Phone: (617) 723-2015
Fax: (617) 723-7787

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 22D0074770
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-31-2026

About BOSTON EYE SURGERY & LASER CENTER TRUST

This page provides the complete NPI Profile along with additional information for Boston Eye Surgery & Laser Center Trust, a provider established in Boston, Massachusetts operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1124116264 assigned on October 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Suzanne Mcdermott (Administrator)

NPI
1124116264
Provider Legal Name
BOSTON EYE SURGERY & LASER CENTER TRUST
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
50 STANIFORD ST LOBBY LEVEL BOSTON, MA 02114
Location Phone
(617) 723-2015
Location Fax
(617) 723-7787
Mailing Address
PO BOX 4175 WOBURN, MA 01888
Mailing Phone
(617) 723-2015
Mailing Fax
(617) 723-7787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2006
Last Update Date
11-06-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUZANNE MCDERMOTT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(617) 314-2672

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1100315506AMEDICAID (05)MA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 218 times for 180 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

This service was performed 13 times for 11 patients

Creation of eye fluid drainage tract for treatment of glaucoma

This procedure, aimed at treating glaucoma, involves creating a small pathway in the eye to allow fluid to drain more effectively. This helps to lower eye pressure and prevent damage to the optic nerve, preserving your vision.

This service was performed 26 times for 24 patients

Creation of eye fluid drainage tracts in iris using a laser, per session

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

This service was performed 51 times for 28 patients

Destruction of lens tissue using laser

Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.

This service was performed 16 times for 16 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 28 times for 20 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 31 times for 24 patients

Laser repair to improve eye fluid flow

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

This service was performed 115 times for 86 patients

Photocoagulation treatment to prevent detachment of retina

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

This service was performed 30 times for 29 patients

Processing, preserving and transporting corneal tissue

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

This service was performed 68 times for 60 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 1,267 times for 899 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 36 times for 18 patients

Removal of eye fluid (vitreous) between lens and retina

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

This service was performed 20 times for 19 patients

Removal of membrane of retina

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

This service was performed 24 times for 22 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 23 times for 23 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 361 times for 296 patients

Repair of tendon of upper eyelid

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

This service was performed 28 times for 16 patients

Revision or repair of operative wound of eye

A revision or repair of an operative wound of the eye is a procedure to fix complications from a previous eye surgery. It involves addressing issues like infection, healing problems, or incorrect positioning of surgical materials. The goal is to promote proper healing and restore optimal eye function.

This service was performed 17 times for 15 patients

Transplantation of outer layer of corneal tissue

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

This service was performed 57 times for 50 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0074770
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
TOM C. HSU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Boston Eye Surgery & Laser Center Trust to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124116264, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 1 + 1 + 2 + 2 + 1 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124116264.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
50 STANIFORD ST, 3RD FLOOR S50 3
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
50 STANIFORD ST, SUITE 401 S50 401
BOSTON, MA 02114
Dermatology
50 STANIFORD ST, SUITE 200
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, 3RD FLOO S503
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, 4TH FLOOR
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, SUITE 503B
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
50 STANIFORD ST, 4TH FLOOR
BOSTON, MA 02114
Ophthalmology
50 STANIFORD ST, SUITE 600
BOSTON, MA 02114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 STANIFORD ST, 3RD FLOOR S50 3
BOSTON, MA 02114
Pathology (Clinical Pathology/Laboratory Medicine)
50 STANIFORD ST, 3RD FLOOR S50 3 DIABETES UNIT
BOSTON, MA 02114
Anesthesiology
50 STANIFORD ST, C/O MA ANESTHESIA CORP
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, SUITE 503B
BOSTON, MA 02114
Internal Medicine (Nephrology)
50 STANIFORD ST, 7TH FLOOR, LAB OF COMPUTER SCIENCE
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, MGH INPATIENT CLINICIAN EDUCATOR SERVICE
BOSTON, MA 02114
Optometrist
50 STANIFORD ST, SUITE 600
BOSTON, MA 02114
Ophthalmology
50 STANIFORD ST, THIRD FLOOR
BOSTON, MA 02114
Dentist (General Practice)
50 STANIFORD ST, 8TH FLOOR
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, SUITE 300
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
50 STANIFORD ST
BOSTON, MA 02114
Internal Medicine
50 STANIFORD ST, SUITE 503B
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124116264, enumerated as an "organization" on October 11, 2006.

The provider is located at 50 STANIFORD ST LOBBY LEVEL BOSTON, MA 02114 and the phone number is (617) 723-2015.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.